Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Beneficiary Focus Groups New 60 180 0 Other-Telephone Recruitment Script
Form and Instruction CMS-10625
Beneficiary Surveys New 1400 350 0 Form CMS-10635
Form CMS-10635
Form CMS-10635
Form CMS-10635
Form CMS-10635
Form CMS-10635
Form CMS-10635
Informational Interviews New 25 38 0 Form and Instruction CMS-10625
Total burden requested under this ICR: 1485 568 0  
To view an IC, click on IC Title